Yilmaz Saim, Erdoğan Abdullah, Lüleci Ersin
Department of Radiology, Akdeniz University School of Medicine, Arapsuyu 07070, Antalya, Turkey.
J Vasc Interv Radiol. 2004 Apr;15(4):399-404. doi: 10.1097/01.rvi.0000121404.46920.ce.
The authors present a case of traumatic arteriovenous fistula of the internal iliac vessels treated with attempted surgical ligation of the common iliac artery and external iliac artery. The fistula persisted after the operation, and because the patient received no further treatment for the following 6 years, a venous outflow occlusion also developed as a result of high-flow angiopathy. Because the arterial route was eliminated at previous surgery, the fistula and venous occlusion were percutaneously treated via a transvenous approach.
作者介绍了一例髂内血管创伤性动静脉瘘的病例,尝试通过手术结扎髂总动脉和髂外动脉进行治疗。术后瘘管仍持续存在,且在接下来的6年里患者未接受进一步治疗,结果因高流量血管病变还出现了静脉流出道闭塞。由于之前手术已消除了动脉路径,遂通过经静脉途径对瘘管和静脉闭塞进行了经皮治疗。